Provider Demographics
NPI:1205430709
Name:SARASOTA MIND & HEALTH INC
Entity type:Organization
Organization Name:SARASOTA MIND & HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEFRI
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ PINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-256-9040
Mailing Address - Street 1:4011 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-3511
Mailing Address - Country:US
Mailing Address - Phone:863-256-9040
Mailing Address - Fax:
Practice Address - Street 1:4011 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-3511
Practice Address - Country:US
Practice Address - Phone:863-256-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health